| Ms Roseviminda Tordecillas, PT | |
|
21234 Olean Blvd Ste 5, Port Charlotte, FL 33952-6721 | |
| (941) 625-0555 | |
| (941) 625-1970 |
| Full Name | Ms Roseviminda Tordecillas |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 21234 Olean Blvd Ste 5, Port Charlotte, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801881735 | NPI | - | NPPES |
| Y076E | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT19728 (Florida) | Primary |
| Provider Name | Millennium Physician Group Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338 |
| Provider Name | Functional Pathways Preferred Of Tennessee Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20130531000379 |
| Provider Name | Five Star Rehabilitation And Wellness Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1417602640 PECOS PAC ID: 0143323535 Enrollment ID: O20230221002514 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Roseviminda Tordecillas, PT 25351 Tether Ln, Punta Gorda, FL 33983-5917 Ph: (941) 585-8408 | Ms Roseviminda Tordecillas, PT 21234 Olean Blvd Ste 5, Port Charlotte, FL 33952-6721 Ph: (941) 625-0555 |
Kristen Honeycutt Downey, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3036 Tamiami Trl, Port Charlotte, FL 33952 Phone: 941-627-1650 Fax: 941-627-1507 | |
Philip Lagamma, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1649 Tamiami Trl Ste 1a, Port Charlotte, FL 33948 Phone: 941-743-6700 | |
Carmelle Chua Sy, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1032 Vega Ave Nw, Port Charlotte, FL 33948 Phone: 941-585-9114 | |
Kenneth Go Cariaso, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4166 Tamiami Trl, Suite A, Port Charlotte, FL 33952 Phone: 941-766-1110 Fax: 941-766-1190 | |
Mr. Lawrence Carlino, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952 Phone: 941-766-4147 | |
Progressive Physical Therapy Service Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17751 Murdock Cir, Port Charlotte, FL 33948 Phone: 941-743-8700 Fax: 941-743-8850 | |
Omar Alberto Garcia, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17751 Murdock Cir, Port Charlotte, FL 33948 Phone: 941-743-8700 Fax: 941-743-8850 |